| NPI | 1114714417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YENISEY YANES President 301-668-9707 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Additional Taxonomies | 261QP1100X Clinic/Center Podiatric |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-07-21 |